NPI: 1962876821 · JOHNSTOWN, PA 15904 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 153 | $5K |
| 2021 | 1,811 | $52K |
| 2022 | 1,469 | $50K |
| 2023 | 1,266 | $50K |
| 2024 | 2,544 | $104K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 2,760 | 2,403 | $124K |
| V2100 | Lens spher single plano 4.00 | 2,444 | 1,942 | $70K |
| 92004 | 451 | 441 | $19K | |
| V2784 | Lens polycarb or equal | 354 | 320 | $12K |
| 92014 | 274 | 270 | $11K | |
| 92340 | 392 | 301 | $9K | |
| S0620 | Routine ophthalmological exa | 215 | 215 | $6K |
| S0621 | Routine ophthalmological exa | 157 | 157 | $5K |
| V2500 | Contact lens pmma spherical | 26 | 26 | $2K |
| V2520 | Contact lens hydrophilic | 22 | 12 | $1K |
| V2200 | Lens spher bifoc plano 4.00d | 12 | 12 | $512.93 |
| V2750 | Anti-reflective coating | 15 | 13 | $362.49 |
| V2799 | Misc vision item or service | 121 | 108 | $0.00 |